GUARDIAN ANGEL HOME CARE, INC.
NPI 1700962669
Home Health in Las Vegas, NV
NPI Status: Active since October 31, 2006
Contact Information
3275 ALI BABA LANE, SUITE 506
LAS VEGAS, NV
ZIP 89118
Phone: (702) 450-1855
Fax: (702) 450-1854
- Organization
- Home Health
- CLIA Number: 23D1065735
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 03-07-2027
About GUARDIAN ANGEL HOME CARE, INC.
This page provides the complete NPI Profile along with additional information for Guardian Angel Home Care, Inc., a provider established in Las Vegas, Nevada operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1700962669 assigned on October 2006. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Sam D. Kassab Ceo/president (Ceo)
- NPI
- 1700962669
- Provider Name
- GUARDIAN ANGEL HOME CARE, INC.
- Entity Type
- Organization
- Location Address
- 3275 ALI BABA LANE, SUITE 506 LAS VEGAS, NV 89118
- Location Phone
- (702) 450-1855
- Location Fax
- (702) 450-1854
- Mailing Address
- 1715 NORTHFIELD DRIVE ROCHESTER HILLS, MI 48309
- Mailing Phone
- (248) 293-2400
- Mailing Fax
- (702) 450-1854
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2006
- Last Update Date
- 08-18-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License State
- NV
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29-7142 | MEDICARE UPIN (02) | ||
| 297142 | MEDICARE OSCAR/CERTIFICATION (06) | NV |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1065735
- Facility Type
- Home Health Agency
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- LORI BETTS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Guardian Angel Home Care, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 9 | 6 | 2 | 6 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 18 | 6 | 4 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 8 + 6 + 4 + 6 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1700962669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700962669, enumerated as an "organization" on October 31, 2006.
The provider is located at 3275 ALI BABA LANE, SUITE 506 LAS VEGAS, NV 89118 and the phone number is (702) 450-1855.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
